ADT

Sequence	Length	Data Type	Req/Optional	RP/#	Element Name
1	4	SI	O		Set ID – Patient ID
2	20	CX	O		Patient ID (External ID)
3	20	CX	R	Y	Patient ID (Internal ID)
4	20	CX	O	Y	Alternate Patient ID – PID
5	48	XPN	R	Y	Patient Name
6	48	XPN	O		Mother’s Maiden Name
7	26	TS	O		Date/Time of Birth
8	1	IS	O		Sex
9	48	XPN	O	Y	Patient Alias
10	1	IS	O		Race
11	106	XAD	O	Y	Patient Address
12	4	IS	B		Country Code
13	40	XTN	O	Y	Phone Number – Home
14	40	XTN	O	Y	Phone Number – Business
15	60	CE	O		Primary Language
16	1	IS	O		Marital Status
17	3	IS	O		Religion
18	20	CX	O		Patient Account Number
19	16	ST	O		SSN Number – Patient
20	25	DLN	O		Driver’s License Number – Patient
21	20	CX	O	Y	Mother’s Identifier
22	3	IS	O		Ethnic Group
23	60	ST	O		Birth Place
24	2	ID	O		Multiple Birth Indicator
25	2	NM	O		Birth Order
26	4	IS	O	Y	Citizenship
27	60	CE	O		Veterans Military Status
28	80	CE	O		Nationality
29	26	TS	O		Patient Death Date and Time
30	1	ID	O		Patient Death Indicator